Brain Damage Follows Inattention to Newborn’s Jaundice
This case study was made available to MIEC through our partnership with CRICO. It was written by Annette Roberts, CRICO Description A newborn developed brain damage after indications of hyperbilirubinemia went unattended. Key Lessons Mothers of newborns rely on their caregivers to give thorough attention to signs or symptoms of identified risks Non-adherence to a hospital policy that addresses an extraordinary clinical risk is indefensible Lack of an adequate response to this mother’s specific concerns and her baby’s clearly reported worsening condition risks preventable harm Clinical Sequence Immediately post-delivery (cesarean), the mother (G3P3) and newborn girl were noted to have...
This case study was made available to MIEC through our partnership with CRICO. It was written by Kristin O’Reilly, RN, BSN, MPH, CRICO Description A 68-year-old male suffered from septic shock after being discharged from an inpatient setting before any action was taken on a critical lab result. Key Lessons Closed loop communication to the care team for all critical results is crucial to the safe care of patients. Review of pending or outstanding labs with a patient prior to their discharge is necessary to ensure appropriate follow up and symptom monitoring. Clinical Sequence Day 1: A 68-year-old male was...
Delayed Breast Cancer Diagnosis after Insufficient Follow-Up
This case study was made available to MIEC through our partnership with CRICO. It was written by Kristin O’Reilly, RN, BSN, MPH, CRICO Description A 38-year-old patient had a delayed diagnosis of breast cancer resulting in an increased tumor size and advanced staging at the time of diagnosis progressing from Stage 1 to Stage 2. Key Lesson Adhering to national standards and internal policies and procedures is imperative to ensuring the timely diagnosis of cancer. Clinical Sequence A 38-year-old presented to her primary care provider (PCP) with concern for a palpable breast lump. The PCP noted the presence of the...
To provide the best experiences, we use technologies like cookies to store and/or access device information. Consenting to these technologies will allow us to process data such as browsing behavior or unique IDs on this site. Not consenting or withdrawing consent, may adversely affect certain features and functions.
Functional
Always active
The technical storage or access is strictly necessary for the legitimate purpose of enabling the use of a specific service explicitly requested by the subscriber or user, or for the sole purpose of carrying out the transmission of a communication over an electronic communications network.
Preferences
The technical storage or access is necessary for the legitimate purpose of storing preferences that are not requested by the subscriber or user.
Statistics
The technical storage or access that is used exclusively for statistical purposes.The technical storage or access that is used exclusively for anonymous statistical purposes. Without a subpoena, voluntary compliance on the part of your Internet Service Provider, or additional records from a third party, information stored or retrieved for this purpose alone cannot usually be used to identify you.
Marketing
The technical storage or access is required to create user profiles to send advertising, or to track the user on a website or across several websites for similar marketing purposes.